Margiezel Pagan Banchs, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3190 Issued in PR

Practice address

Galeria Profesional Calle Concordia
8118 Oficina 107
Ponce, PR 00717

Phone

(787) 843-4465

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MPB Dental LLC

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1588445571
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1831586296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B10 CALLE 54",
            "address_2": "URB. JARDINES DEL CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282658",
            "telephone_number": "787-548-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GALERIA PROFESIONAL CALLE CONCORDIA",
            "address_2": "8118 OFICINA 107",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-843-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PARCELAS EL TUQUE 559",
            "address_2": "CALLE RAMOS ANTONINI",
            "address_purpose": "LOCATION",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "country_code": "US",
            "telephone_number": "787-841-2618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 Ave Hostos",
            "address_2": "CONSEJO DE SALUD DE PUERTO RICO, INC",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007161115",
            "country_code": "US",
            "telephone_number": "787-843-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN BANCHS",
        "first_name": "MARGIEZEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "003190",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose D Padron Carmona, M.D.
• Gustavo Manuel Padron Jr.
• Marilia Padua Quiles, PSY D
• Roberto Padua Santiago, MD
• Pagan & Segarra Health LLC
• Michael Oscar Pagan Castaner
• Moraima Pagan la Torre, M.D.
• Giselle Marie Pagan Marrero, MD
• Axel Manuel Pagan Nieves
• Ariana Mariel Pagan Perez

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.